Evidence map›Paper›PMID 35727844›Full record

Trial reportBJU international2022

Robot-assisted vs ultrasonography-guided transversus abdominis plane (TAP) block vs local anaesthesia in urology: results of the UROTAP randomized trial.

Daniel C Rosen, Jared S Winoker, Greg Mullen, Erin Moshier, Alan Sim, Prachee Pathak, Vinayak Wagaskar, John P Sfakianos, Avinash Reddy, Michael Palese and 4 more

Open access · greenAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in BJU international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Daniel C RosenDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-4759-6422
Jared S WinokerDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-8499-7041
Greg MullenDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Erin MoshierDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Alan SimDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Prachee PathakDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Vinayak WagaskarDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
John P SfakianosDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Avinash ReddyDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Michael PaleseDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ketan K BadaniDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-5472-7294
Peter WiklundDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ashutosh TewariDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Reza MehrazinDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · US

Funding

THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Sacha Gnjatic · 2015 to 2026
$35.4M
NCI NIH HHS P30 CA196521
6 · The paper itself

Abstract

objectivesTo prospectively analyse robotically administered transperitoneal transversus abdominis plane (robot-assisted transversus abdominis plane [RTAP]) compared with both ultrasonography-guided transversus abdominis plane (UTAP) and local anaesthesia (LA) with regard to pain control and narcotic use in patients undergoing robot-assisted prostatectomy (RARP) or robot-assisted partial nephrectomy (RAPN). SUBJECTS/PATIENTS AND

methodsPatients undergoing RARP or RAPN were randomized in a single-blind 2:2:1 fashion to RTAP:UTAP:LA, with the study powered to evaluate superiority of UTAP to LA and non-inferiority of RTAP to UTAP. We compared time to deliver the block, operating room time, postoperative pain scores using the visual analogue scale, and intra-operative and postoperative analgesia consumption.

resultsA total of 143 patients were randomized and received treatment. There was no significant difference in patient baseline characteristics. UTAP did not demonstrate superiority to LA in terms of pain control. RTAP and LA were faster to administer than UTAP (time to perform block 2.5 vs 2.5 vs 6.25 min; P < 0.001). There was no difference in postoperative narcotic, acetaminophen, ketorolac or ondansetron requirements among the three groups (P > 0.05). The study was terminated early due to the unexpected efficacy of LA.

conclusionThis study showed that UTAP and RTAP do not provide superior pain control to LA. The efficiency, effectiveness, and ease of administration of LA make it an excellent option for first-line therapy for postoperative analgesia.

Indexed as

RoboticsUrologyAbdominal MusclesAnesthesia, LocalAnesthetics, LocalHumansMaleNarcoticsPostoperative PainSingle-Blind MethodUltrasonographyUltrasonography, InterventionalAnesthetics, LocalNarcoticsanalgesianarcoticpain controlregional anaesthesiarobotic partial nephrectomyrobotic prostatectomytransversus abdominis

Identifiers

PMID35727844
PMCPMC12951731
OpenAlexW4283265276

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.